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1995年1月至1999年12月珠海国际旅行卫生保健中心在对152234名出入境旅行者健康体检中开展了艾滋病监测,并将其监测结果与拱北口岸高危人群、中国大陆入出境人群的艾滋病监测情况,运用描述流行病学方法,相对数、X~2检验等对监测结果进行分析,发现保健中心健康体检人群、拱北口岸高危人群男女性艾滋病感染率没有显著性差异(X~2=1.128,P>0.05;X~2=0.14,P>0.05)。拱北口岸高危人群、中国大陆入出境人群(1997)、健康体检人群三者艾滋病感染率(281.59/10万,25.26/10万,2.63/10万)比较有非常显著差异(X~2=194.11,P<0.05)。为此提出:加强常规监测与重点监测相结合,强化出入境检验检疫屏障作用;完善管理法规,重视短期入出境高危人群HIV监测工作;注重对国际旅行者的经常性宣传教育,提倡健康、安全性行为,提倡使用避孕套;加强入境高危人群、HIV感染者、AIDS病人的后续管理,定期监测,防止造成更多人感染等建议和对策。
From January 1995 to December 1999, Zhuhai International Travel Health Care Center conducted AIDS surveillance in 154,234 immigrant travelers for physical examination. The monitoring results were compared with those of high risk population at Gongbei Port, immigrants entering and exiting mainland China The epidemiological method, relative number and X ~ 2 test were used to analyze the surveillance results. It was found that there was no significant difference in HIV / AIDS among male and female at health checkup centers and Gongbei ports (X ~ 2 = 1.128, P> 0.05; X ~ 2 = 0.14, P> 0.05). There were significant differences in prevalence of HIV infection (281.59 / 100000, 25.26 / 100000, 2.63 / 100000) among the high-risk population at Gongbei Port, the Chinese entering and leaving the country (1997) and the health examination population (X 2 = 194.11, P <0.05). To this end, it is proposed to strengthen the combination of routine monitoring and key monitoring and strengthen the role of exit-entry inspection and quarantine barriers; improve management regulations and attach importance to HIV monitoring in high-risk groups entering and exiting short-term; pay attention to regular publicity and education to international travelers and promote health and safety Sexual behavior, promote the use of condoms; strengthen the entry of high-risk groups, HIV-infected people, AIDS patients follow-up management, regular monitoring to prevent more people from causing infections and other recommendations and countermeasures.